Effects of dance on the postural balance, cognition and functional autonomy of older adults.

OBJECTIVE: to evaluate the postural balance, cognition and functional autonomy of older adults with dementia, who are long-stay inpatients, subjected to ballroom dancing. METHOD: simple randomized clinical study. Older adult sample: control group (30) and experimental group (30). The groups were subjected to the protocol of functional autonomy for activities of daily living; to the assessment of cognition (mini-mental state examination); and to the analysis of postural balance (stabilometric and postural platforms). The analysis of variance with repeated measures for group and time factors, and Scheffé's post hoc test were used, with significance of p < 0.05. RESULTS: For the mini-mental state examination, the control group presented a 24.27 mean, and the experimental 22.75. Functional autonomy for activities of daily living - experimental: 54.47 ± 7.24 (p < 0.0001) x control: 61.77 ± 8.47 (p = 0.011). Postural balance - experimental: X = 3.16 ± 3.44 (p = 0.02) x control = X = 6.30 ± 7.62 (p = 0.04). CONCLUSION: Ballroom dancing can be recommended for older adults to provide improvement in their balance and motor performance of the activities of daily living.

Effects of dance on the postural balance, cognition and functional autonomy of older adults / Efectos del baile en el equilibrio postural, en la cognición y en la autonomía funcional de los ancianos / Efeitos da dança no equilíbrio postural, na cognição e na autonomia funcional de idosos

ABSTRACT Objective: to evaluate the postural balance, cognition and functional autonomy of older adults with dementia, who are long-stay inpatients, subjected to ballroom dancing. Method: simple randomized clinical study. Older adult sample: control group (30) and experimental group (30). The groups were subjected to the protocol of functional autonomy for activities of daily living; to the assessment of cognition (mini-mental state examination); and to the analysis of postural balance (stabilometric and postural platforms). The analysis of variance with repeated measures for group and time factors, and Scheffé's post hoc test were used, with significance of p < 0.05. Results: For the mini-mental state examination, the control group presented a 24.27 mean, and the experimental 22.75. Functional autonomy for activities of daily living - experimental: 54.47 ± 7.24 (p < 0.0001) x control: 61.77 ± 8.47 (p = 0.011). Postural balance - experimental: X = 3.16 ± 3.44 (p = 0.02) x control = X = 6.30 ± 7.62 (p = 0.04). Conclusion: Ballroom dancing can be recommended for older adults to provide improvement in their balance and motor performance of the activities of daily living.

RESUMEN Objetivo: evaluar el equilibrio postural, la cognición y la autonomía funcional de los ancianos con demencia, institucionalizados de larga permanencia, sometidos al baile de salón. Método: estudio clínico aleatorizado simple. Muestra de ancianos: grupo control (30) y grupo experimental (30). Los grupos fueron sometidos al protocolo de autonomía funcional para actividades de la vida diaria, a la evaluación de la cognición (mini examen del estado mental), y el análisis del equilibrio postural (pedana estabilométrica y posturométrica). Se hizo el análisis de la varianza, con medidas repetidas en los factores grupo y tiempo, y el post hoc de Scheffé, con significancia p < 0,05. Resultados: El grupo control presentó en el mini examen del estado mental promedio de 24,27, y el experimental 22,75. Autonomía funcional para actividades de la vida diaria - experimental: 54,47 ± 7,24 (p<0,0001) × control: 61,77 ± 8,47 (p = 0,011). Equilibrio postural - experimental: X = 3,16 ± 3,44 (p = 0,02) × control = X = 6,30 ± 7,62 (p= 0,04). Conclusión: El baile de salón debe ser indicado para proporcionar una mejora en el equilibrio y el rendimiento motor en las actividades de la vida diaria de los ancianos.

RESUMO Objetivo: avaliar o equilíbrio postural, a cognição e a autonomia funcional de idosos com demência, institucionalizados de longa permanência, submetidos à dança de salão. Método: estudo clínico randomizado simples. Amostra de idosos: grupo controle (30) e grupo experimental (30). Os grupos foram submetidos ao protocolo de autonomia funcional para atividades da vida diária; à avaliação da cognição (miniexame do estado mental); e à análise do equilíbrio postural (pedana estabilométrica e posturométrica). Fez-se a análise de variância, com medidas repetidas nos fatores grupo e tempo, e o post hoc de Scheffé, com significância p < 0,05. Resultados: O grupo controle apresentou no miniexame do estado mental média de 24,27, e o experimental 22,75. Autonomia funcional para atividades da vida diária - experimental: 54,47 ± 7,24 (p < 0,0001) x controle: 61,77 ± 8,47 (p = 0,011). Equilíbrio postural - experimental: X = 3,16 ± 3,44 (p = 0,02) x controle = X = 6,30 ± 7,62 (p = 0,04). Conclusão: A dança de salão deve ser indicada para proporcionar melhora no equilíbrio e no desempenho motor nas atividades da vida diária de idosos.

The effect of ballroom dance on balance and functional autonomy among the isolated elderly.

The aim of the present study was to analyze the influence of a ballroom dancing program on the functional autonomy and physical balance of institutionalized elderly individuals. The study enrolled 75 sedentary elderly subjects from long-term institutions who were randomly divided into a ballroom dance program group (EG; n=39) and a control group (CG; n=36). The protocol of the Latin American Group for Maturity (GDLAM) was used to evaluate functional autonomy. Physical balance was analyzed using a stabilometer and posture meter platforms. The level of significance in statistical tests was set at p<0.05. Regarding the physical balance evaluation, only the members of the EG achieved a significant reduction in weight (Δ=-0.98 kg) following the experiment, both in the intragroup (p=0.002) and in the intergroup analysis (p=0.012). In the evaluation of functional autonomy, only the EG showed a significant reduction in the execution time of all the tests and in the GDLAM index: GI (Δ=-6.99), both in the intragroup (p<0.001) and in the intergroup analysis (p=0.011). Thus, it can be inferred that sedentary elderly individuals who are residents of long-term institutions can improve their functional autonomy and balance with a ballroom dance program.

Efeitos do treinamento funcional na autonomia funcional, equilíbrio e qualidade de vida de idosas / Effects of functional training on functional autonomy, balance and quality of life of elderly

O estudo foi investigar os efeitos do treinamento funcional no equilíbrio postural, funcionalautonomia e qualidade de vida de idosos ativos. A amostra foi dividida aleatoriamente em Grupo Funcional Formação (GFT) e grupo controle (GC), com idade entre 67 ± 6 e 65 ± 5 anos (de idade), respectivamente. a seguir Foram utilizados protocolos: Berg Balance Scale (EEB, o equilíbrio postural), Grupo Latino-Americano de Desenvolvimento para Maturidade (GDLAM, autonomia funcional) e da Organização Mundial da Saúde de Qualidade de Vida (WHOQOL - idade, qualidade de vida). A análise descritiva e inferencial através do teste de normalidade de Shapiro-Wilk foi realizada para avaliar os dados. Foram utilizados os testes de Kruskal-Wallis ou Two-Way Anova para a avaliação do intergroupdifference seguido teste post-hoc de Scheffe, respectivamente. Havia apenas (Δ% = 24,88%, p = 0,0001) e entre os grupos significativa diferença intragrupo (Δ% = 42,22%, p = 0,0001) para a variável grupo de treinamento funcional (GTF) na balança, a autonomia funcional em todas as variáveis ​​em que o índice geral (IG) obtidos valores de (Δ% = -37,14%, p = 0,001); e a qualidade de vida na variável áreas relacionadas com a autonomia, participação social, morte e morrer e intimidade, o índice global de qualidade de vida (QVG de idade) obtidos os seguintes resultados (Δ% = -1,41%, p = 0,001). Em conclusão, os resultados desta estudo fornecem evidência o GTF foi menos tempo na realização de testes de equilíbrio, autonomia funcional, reflectindo a melhoria da qualidade de vida de pessoas idosas.

The study was to investigate the effects of functional training on postural balance, functional autonomy and quality of life for active seniors. The sample was randomly divided into Group Functional Training (GFT) and control group (CG), aged 67±6 and 65± 5 years (old), respectively. The following protocols were used: Berg Balance Scale (EEB, postural balance), Latin American Group of Development for Maturity (GDLAM, functional autonomy) and World Health Organization of Quality of Life ( WHOQOL – old , quality of life). Descriptive and inferential analysis using Shapiro-Wilk’s normality test was performed to evaluate the data. The Kruskal-Wallis test or Two-way ANOVA test were used for the evaluation of the intergroupdifference followed Scheffe post-hoc test, respectively. There was only (∆% = 24.88%, p = 0.0001) and between groups significant intra group difference (∆% = 42.22%, p = 0.0001) for the functional training group (GTF) variable in the balance, the functional autonomy in all variables where the general index (GI) obtained values of (∆% = -37,14%, p = 0,001); and the variable quality of life in areas relating to autonomy, social participation, death and dying and intimacy, the overall index of quality of life (OQL-old) obtained the following results(∆% = -1,41%, p = 0,001). In conclusion the results of this study provide evidence the GTF was less time in the performance of balance tests, functional autonomy, reflecting the improved quality of life of elderly.